Claim Tracker Field Descriptions & Icons

Claim Tracker Field Descriptions


  • Submission Type

    • Electronic: Claims forwarded electronically to the payer.

    • Paper: Claims sent electronically to the clearinghouse but printed on a claim form and mailed to the payer.

    • User Print: Claims printed by and mailed to the payer by you. 

  • Processing Mode

    • Test: Claims will only be sent to the clearinghouse where they will be analyzed to ensure there are no errors or required edits. This mode is typically used while you are in training. 

    • Production: Claims are sent to the clearinghouse and then sent onward to the payer. These are live claims.  

  • Tracking Status

    • Sent: Claims that have been sent to the clearinghouse or sent from the clearinghouse to the payer. 

    • Accepted: Claims accepted at the clearinghouse.

    • Rejected - Not Fixed: Claims that were rejected by the clearinghouse or payer and have not been fixed or resubmitted. This is a good option to choose if you want to work on correcting claims that need to be resubmitted. 

    • Rejected - Fixed: Claims that were initially rejected at the clearinghouse or payer, but have since been corrected and resubmitted.

    • Warnings: Claims that have a warning message attached to them. 

    • No Errors: Claims that have no errors.

    • Unprocessed: Claims with a status of unprocessed (claims not acknowledged by the clearinghouse).

  • Tracking Status Source

    • CollaborateMD: Any claim status messages generated by CollaborateMD.

    • Clearinghouse: Any claim status messages received from eProvider Solutions.

    • Payer Rejections: Any claim status messages received from the Payer's front-end edits (messages received before the claim has been adjudicated by the payer).

    • EOB Denials: Any claim status messages received from the EOB (messages received after the claim has been adjudicated by the payer).

  • Claim Status: Filter your claims based on their claim status. Please reference our Claims Help Article for more information. 

  • Claim Type: Filter your claims based on their type.

  • TCN: This is the Transaction Control Number (TCN) . Each claim submission will have a unique TCN number. Think of this has the tracking number for the submission. 

  • Claim#: The Claim number is the unique number CMD gives to each claim created within the application.

 

Claim Tracker Icon Descriptions


  •   : This icon is used to represent the Claim that was submitted to the payer.

  • : This icon shows that the claim was submitted electronically to the Clearinghouse and onto the Payer.

  •   : This icon shows that the claim was printed and mailed to the payer by your office.

  •    : This Icon shows that a claim was submitted electronically to the Clearinghouse and then dropped the claim to paper and mailed to the Payer.

  •   : This icon represents a standard informational message related to the claim submission. 

  •   : This icon represents an error or rejection message related to the claim submission.  

  •   : This icon represents a warning message (a problem not categorized as a rejection) related to the claim submission.  

  •   : This icon represents an error or rejection message that was marked as fixed by a user.